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Hip & femur procedures except major joint w CC

MS-DRG 481 · negotiated-rate distribution across hospitals in GA

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Hospitals
14
Min
$13,530
Median
$25,552
Max
$45,814
Range multiplier
3.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthpartners347$20,004$45,814$64,7803.2×
Blue Cross Blue Shield1142$64.00$22,374$62,671979.2×
Aetna1131$90.00$33,748$51,011566.8×
UnitedHealthcare1027$13,267$21,001$84,1386.3×
Cigna1127$85.00$23,550$59,326697.9×
Humana1120$5,802.52$34,701$53,7679.3×
WellCare78$13,136$18,336$22,3211.7×
Oscar Health77$21,018$28,783$28,7831.4×
devoted health66$15,198$20,112$21,5431.4×
Ambetter55$21,674$40,634$44,6412.1×
Kaiser Permanente44$15,198$20,112$21,0571.4×
optum44$15,198$20,112$21,0571.4×
clover health44$15,958$21,118$22,1101.4×
sonder health plans44$15,958$21,118$22,1101.4×
va community care network44$15,198$20,112$21,0571.4×
First Health23$95.00$7,300.00$15,577164.0×
TRICARE23$14,007$14,007$25,2961.8×
CareSource13$21,575$21,575$36,6021.7×
sonder health plan12$21,994$21,994$21,9941.0×
peach state12$19,985$20,780$21,5751.1×
riverwood behavioral health12$20,915$20,931$20,9471.0×
Health Net12$97.00$7,836.80$15,577160.6×
occunet11$29,556$29,556$29,5561.0×
pcc employee11$10,815$10,815$10,8151.0×
prime health services11$19,531$19,531$19,5311.0×
provider select11$19,934$19,934$19,9341.0×
rural arizona network11$15,577$15,577$15,5771.0×
smarthealth11$18,390$18,390$18,3901.0×
ubh optum11$20,947$20,947$20,9471.0×
united mine workers of america11$15,577$15,577$15,5771.0×
three rivers11$19,531$19,531$19,5311.0×
americas choice provider network11$19,531$19,531$19,5311.0×
arizona medical network11$15,577$15,577$15,5771.0×
banner health11$15,577$15,577$15,5771.0×
blue mcr replacement11$13,136$13,136$13,1361.0×
bridgeway health solutions11$15,577$15,577$15,5771.0×
centurion11$31,373$31,373$31,3731.0×
clear spring health plan11$20,915$20,915$20,9151.0×
corvel11$19,129$19,129$19,1291.0×
employer direct healthcare11$27,190$27,190$27,1901.0×
facility billing - op11$13,136$13,136$13,1361.0×
georgia workers’ compensation11$20,136$20,136$20,1361.0×
health choice pathway11$15,577$15,577$15,5771.0×
health management network11$15,577$15,577$15,5771.0×
healthspring mcr replacement11$13,399$13,399$13,3991.0×
imperial insurance11$16,355$16,355$16,3551.0×
Medicare11$20,915$20,915$20,9151.0×
Medicare Advantage11$13,136$13,136$13,1361.0×
Multiplan11$19,531$19,531$19,5311.0×
naphcare11$32,419$32,419$32,4191.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Northeast Georgia Medical CenterGainesvilleGA6$19,509$45,814$64,780
Emory Long Term Acute CareDecaturGA5$28,783$40,116$41,434
Ngmc Lumpkin LlcDahlonegaGA6$18,900$33,319$64,780
Ngmc BarrowWinderGA6$20,004$30,017$62,671
Emory University Hospital MidtownAtlantaGA14$21,057$25,552$44,641
Emory University HospitalAtlantaGA14$21,057$25,552$44,641
St. Josephs Of AtlantaAtlantaGA14$15,198$25,091$44,050
Emory DecaturDecaturGA14$19,167$25,091$44,050
Southern Regional Medical CenterRiverdaleGA28$20,915$5,802.52$21,575$36,602
West Central Ga Regional HospitalColumbusGA17$64.00$15,577$84,138
St. Marys Sacred Heart HospitalLavoniaGA17$7,300.00$13,530$39,104
Southwell MedicalAdelGA0
Memorial HospitalBainbridgeGA0
Union General HospitalBlairsvilleGA0

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.